Individual
TIMOTHY SEAN BULLOCK II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 E EISENHOWER PKWY, ANN ARBOR, MI 48108-3364
(734) 936-7175
Mailing address
3134 N CLARK ST, CHICAGO, IL 60657-4414
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.084133
IL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4351053816
MI
Other
Enumeration date
03/20/2023
Last updated
07/10/2025
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